without talking to your doctor, as this may increase your risk of a blood clot or stroke. while taking, you may bruise more easily, and it may take longer for bleeding to stop. xarelto® may increase your risk of bleeding if you take certain medicines. xarelto® can cause serious, and in rare cases, fatal bleeding. get help right away for unexpected bleeding, unusual bruising, or tingling. if you have had spinal anesthesia while on xarelto®, watch for back pain or any nerve or muscle-related signs or symptoms. do not take xarelto® if you have an artificial heart valve or abnormal bleeding. tell your doctor before all planned medical or dental procedures. before starting xarelto®, tell your doctor about any conditions, such as kidney, liver, or bleeding problems. to help protect yourself from a stroke, ask your doctor about xarelto®. insurance changes? xarelto® has you covered.